Individual
MS. ROSA MARIA KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT-1
Contact information
Practice address
8450 G AVE SPC 74, HESPERIA, CA 92345-6590
(760) 669-4808
Mailing address
8450 G AVE SPC 74, HESPERIA, CA 92345-6590
(760) 669-4808
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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